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Permit CITY OF TIGARD MASTER PERMIT ' • COMMUNITY DEVELOPMENT Permit#: MST2014-00147 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718,2439 Date Issued: 10/09/2014 Parcel: 2S104BC06200 Jurisdiction: TIGARD Site address: 14256 SW LUKAR CT Subdivision: LUKAR RIDGE Lot: 4 Project: Lukar Ridge, Lot 4 Project Description: New SF. BUILDING Floor Areas Required Setbacks Reauired Stories: 2 Bedrooms: 3 First: 1289 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 33 Bathrooms: 3 Second: 1709 sf Garage: 432 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2998 sf Value: $349,765.42 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders_ Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2998 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports(Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: 503-381-3753 PHONE: 503-381-3753 FAX: 503-214-8524 Total Fees: $22,478.57 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTIS• •ree• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001. I rough OAR 952 9!• 9090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued : : ' �' Permittee Signature: r l 1 r L�� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , i Billilding Permit Application Residential F OR OFFICE USE ONLY OCtkNi-V.AV Received q City of Tigard Date/B : ` i i'� Permit No �. e ` 0 O 13125 SW Hall Blvd.,Tigard,OR 972 n Plan Review I III i Phone: 503.718.2439 Fax: 503.598.1960 D 4 DateBy: 1 '� ( 1 I Other Permit: 4� t),614—oc. )1/ . i t �_ t Inspection Line: 503.639.4175 S`�Q "AA Date Ready .y: t See Page 2 for ti Internet: www.tigard-or.gov �� 1°V otified Method: Supplemental Information TYPE OF WORD! {1 .., REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑D `ei onn Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Comercial/industrial Valuation: , 004,7(17:5- m❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:14256 SW LUKAR CT New dwelling area: 2998 square feet City/State/ZIP:TIGARD/OR/97223 Garage/carport area: 432 square feet Suite/bldg./apt.no.: Project name:LUKAR RIDGE Covered porch area: f square feet tiC Cross street/directions to job site:ASCENTION TO LUKAR CT. Deck area: square feet (2 Other structure area: "4-% ) square feet 3.- REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:LUKAR RIDGE Lot no.:4 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:MISSOIN HOMES NW Type of construction: Address:PO BOX 1689 Occupancy groups: City/State/ZIP:LAKE OSWEGO/OR/97035 Existing: Phone:(503)381-3753 Fax:(503)214-8524 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:MISSION HOMES NW Structural plan review fee(or deposit): Contact name:JOSH KELSO FLS plan review fee(if applicable): Address:PO BOX 1689 Total fees due upon application: City/State/ZIP:LAKE OSWEGO/OR/97035 Phone:(503)381-3753 Fax::(503)214-8524 Amount received: E-mail:JOSHKELS03 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: MISSION HOMES NW Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO BOX 1689 Solar Installation Specialty Code checklist. City/State/ZIP:LAKE OSWEGO/OR/97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)381-3753 Fax:(503)214-8524 State surcharge(12%of permit fee): $21.60 CCB lic.: 186849 Total fee due upon application: $201.60 Authorized signature' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:JOSH KELSO Date:tr_/f/--// *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) 03/17./20'11 13: 12 5034636263 CONNECTIONS ELECTRIC #2190 P. 002/002 ' ynw•. r ,. Lvl I IU.'Tarn `� Irv. I ITV I . L Electrical Permit Apolicatiolq � FOR(}rl,u 1::t1"1,l:(),41.5 City 0)I?Tigard rd r Revived ludo Penult No.: 11,,.. a 13125 SW/101131vd.,Tigard,OR rio� Pan' - -w Other permit: Moat; 503.118,2439 r—c: SQ3.S9p.1Af,0 % MurA3 ,,.A ,, Inspection Line: 503.639.4175 CO �� ..o RaadyRl}c ®s« enl l[or Intenlet: ww tigprd-or,gov �``�'C, 1S,�ts,Notified/Method: Supplemental lorarm�Illoa TYPE OF woltl ''Vll�� 7 r..:,k1:0_I AIN ', EjNew construction 0 Addilion/alteratior hOWnent }ltasa cheek all that iFilty(submit lute orAlmru wilieras checked be low): ❑UMW:or(ceder 400 wraps or more CI Building owe three storias. b Demol lliorl D Other; ,,hero Iha nyi1eb1a(OR Naval Ci Marisa bud boa1Yords, -rr, ;.. ' CATOPtiV;pg. Qt`, 'i[%00.0i!iyy=,, 'r ),.h : exceeds 10,000 amps at 150 tolls or El Floating buildings. Ins to gonna,or exceeds 14,000 CI ComnwrolJl•uso agricultural 'U 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ,rope for all olbar inatafiatioas• Lulldiags. n Multi-fami _ 0 Master builder 0 Other: ❑Fire pump. CI masuotion of75 KVA or J'011 SITE'1NFORMAIiiiN AND LOCATION ❑Md ion}'X011 larger 8","1-2-,..1-3",-2lyO system. ❑Addilionofacwna:orlasdo( t~J"A",''1;", Job uo.: Job site address: lq Z5‘, Sr✓ 64,.r.4-4`- maw a mom. occupancy. e7 ❑Six or room resideulialwits. ©gee renioaal vehicle perks, City/State/ZIP: T I. 440 , 1 1 27 0 ❑Heahh-eare facilities. ra 604 volts at more then (�listsrdow locations Suite/bldg./apt.no.: Project name: LV le o E ❑Sarrko or Fader 600 amps or,ore. Gi "FEE CHZDIJf-E ` Cross street/directions to job site: n....spwy 1 011, ("- •i I •Id � New residential single-or multi-family dwelling unit. ftSt.Ly1(i• z LvKA.� Includes attached garage. l.00O sq.R.or less 168.54 4 Subdivision: �cn � Lot no.: r >?a t�dc1130Osq.n.or portico ..6.- 33.92 1 Trtx map/parcel no.: limited allergy,residential DESCRIPTION OF WOid.K . - "di-----(- h above iq.1111 ( 75A0 2 Limited � multi-family 75.00 2 NEW SINGLE FAMILY energy, ( bov .n) Services or feeders blstallationolleration,andlot relocation 200 amps or Icsa 100,70 2 ® PIROPERTY OWNER 0 TENANT ' 201 situps to 400 amps 133.56 2 Name:MISSION HOMES NW 401 amps to 600 amps 200.34 2 601 amps 10 1,000 amps 301.04 2 Address:PO BOX 1689 Over 1,000 amps or volu j i 552.26 2 City/State/ZIP:/S1nIeJ211':Y AICE OSW)EvGO/OItJ9703S Temporary services or feeders installation,alteration,and/or t5' relocis Con Phone:(503)381-37553 r Fax:(503)214.8524 200 amps or less 59.36 1 Owner installation:This Instal/Won Is being made on property that I own which is not 201 amps to 400 amp: 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. sal Omar it 599 apps 168.54 2 /trench circuits—new*alteration,or extension,per panel , Owner signature: Date: A.Fee for branch circuits rr1th ' ® APPLICANT 0 CONTACT PERRSON above service or feeder tee. 7,32 2 — ^I each branch circuit• Business name:1VfIS5ION HOMES NW B.lice for amen clrcults without _ umce or feeder fee,fire 56.1E 2 Contact name:JOSH KELSO branch circuit Each sdd'I branch clrc011 7.42 2 Address:PO BOX 1689 rlisee tnneoun Ieer-vlee or feeder nal ine1u0e4) Each menutecturcd or modular 67.84 2 City/State/ZIP:LAKE OSWEGO/OR/97035 dwCttint service anther fader Phone:(503)381.3733 Fax::(503)214.8524 Recoi1cei only - 67.14 2 &mall:JOSI•IKELSQ3®GM MI COM Sump rr urine lig lighting 67.84 2 Sign or outline Ugttting 67.$4 2 CONTACTOR _ Signal circuits)or Ilmiled•energy Business name:CONNECTIONS ELECTRIC panel.alteration orexiension. PASO 2 2 Each taddltlonat insprctiOu over Allowable many of the above Address!4675 PORTLAND RD NE pr,•.-1(- 6 Additional'• • on(I hr min) 66.25/br CiIy/SlaEe/Z)I':SALEM/0R 473Q5 s„� p� lcrestigetion(I hr min) , Industrial plant(1 In min) Phone:(503)390.7914 1 )ex;(2)a) te43_(Q i 3 ippectloria for which no fee is 90,00/hr a• ;gall listed 16 hr min . , . CCR Lie.: 65444 Elccrrical Uc.: 24.24C Supt.?.Lic.:34r,ts _ ELECTRICAL ERM1T'FEES Subtotal: ....—b... s Su rv.Electrician signature,required: ee ;. � Pfau review(25%ofpermit tee): Print name: Date: Sate surcharge(12%ofpemtil fat): b-C�w.1)es:` r�.r� —� TOTAL PERMIT FEE: Authorized signature. -> i 1711--l sppiicativn expires I'f a normal is net obt■lued within 110 Q ds}z alter it 413 been accepted ai complete. Print name: Jojre.( �o C L—�'r"/V • Number of inlpoclione allowed per permit t a dirdpermtIeELC-rennitApp.doc 07101110 4.10-1611I(111051COSd111'FP Mechanical Permit Application cON/..aV FOR OFFICE USE ONLY City of Tigard Received Permit No.: . Date/By: 1 3125 SW Hall Blvd.,Tigard,OR 97223 n^ + Plan Review t Phone: 503.718.2439 Fax: 503.598.1960 DLO` Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 SC,Q 0 Date Ready/By: Jun s: la See Page 2 for Internet: www.tigard-or.gov rrNI 6ed/Method: Supplemental Information IN 01 TYPE OF WORK�1�1``, �"�� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST &)1*'O� Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/alteration placement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total _ JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 14256 SW LUKAR CT (requires site plan showing placement) 1 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:TIGARD/OR/97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:LUKAR RIDGE Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site:ASCENTION TO LUKAR CT Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision:LUKAR RIDGE Lot no.:4 Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 Gas fireplace 1 33.39 NEW SINGLE FAMILY Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 24 PROPERTY OWNER I 0 TENANT Other: 23.32 Name:MISSION HOMES NW Environmental exhaust and ventilation: Range hood/other kitchen Address:PO BOX 1689 equipment 1 33.39 City/State/ZIP:LAKE OSWEGO/O12/971135 Clothes dryer exhaust 1 - 33.39 Single-duct exhaust(bathrooms, Phone:(503)381-3753 Fax:(503)214-8524 toilet compartments,utility rooms) 5' 23.32 ® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: _ 23.32 Business name:MISSION HOMES NW Fuel piping: Contact name:JOSH KELSO $14.15 for first four:S4.03 for each additional Furnace,etc. I Address:PO BOX 1689 Gas heat pump City/State/ZIP:LAKE OSWEGO/OR/97035 Wall/suspended/unit heater Phone:(503)381-3753 Fax: :(503)214-8524 Water heater I Fireplace 1 E-mail:JOSHKELSO3@GMAIL.COM Range 1 CONTRACTOR Barbecue 1 Clothes dryer(gas) Business name:ADVATNAGE HEATING&AIR CONDITIONING,LLC Other: Address:2355 HYACINTH MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:SALEM/OR/97301 Minimum permit fee($90.00) Phone:(503)393-5315 Fax:( ) Plan review(25%of permit fee) CCB lie.: State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. I Print name:JOSH KELSO Date: / p / ' • Fee methodology set by Tri County Building Industry Service Board C\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(II/02/COM/WEB) P1umfing Permit Application �a� Building Fixtures OC% FOR OFFICE USE ONLY C ity of Tigard Received +� DateBy: Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 % c ;ant Review Phone: 503.718.2439 Fax: 503.598.1960 GQ Other Permit No.: G 11 ae/.y: Inspection Line: 503.639.4175 S (. ' T I G A It t) 1`•' P . eady/By: luris: ® See Page 2 for Internet: www.tigard-or.gov �L\�� ■��`ted/Method: Supplemental Information TYPE OF WORK e1``' i�`+1�Cj� FEE* SCHEDULE ®New construction El Demt 1 For s r eciai in ormation use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accessory building SFR(3)bath 1 500.32 El ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14256 SW LUKAR CT Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD/OR/97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:LUKAR RIDGE Manufactured home utilities 50.03 Cross street/directions to job site:ASCENTION TO LUKAR CT Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision:LUKAR RIDGE I Lot no.:4 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 NEW SINGLE FAMILY Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:MISSION HOMES NW Fixture/sewer cap 25.02 Floor drain/floor sink/huh 25.02 Address:PO BOX 1689 - Garbage disposal 1 25.02 City/State/ZIP:LAKE OSWEGO/OR/97035 Hose bib 1 25.02 Phone: (503)381-3753 Fax:(503)214-8524 Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:MISSION HOMES NW Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:JOSH KELSO Roof drain(commercial) 12.51 Address:PO BOX 1689 Sink/basin/lavatory 5 25.02 City/State/ZIP:LAKE OSWEGO/OR/97035 Solar units(potable water) 62.54 Phone:(503)381-3753 Fax::(503)214-8524 Tub/shower/shower pan 3 12.51 E-mail:JOSHKELS03 @GMAIL.COM Urinal 25.02 CONTRACTOR Water closet 2 25.02 Water heater 1 37.52 Business name:S&B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: _ 25.02 City/State/ZIP:VANCOUVER/WA/98664 Subtotal Phone:(503)545-3601 Fax:(360)695-5031 Minimum permit fee: $72.50 CCB Lie.: 168129 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature' _ = TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name:JOSH KELSO Date:P. l��y pe appafter it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT R Building Permit Review — Residential Building Permit #: /),3 ji'H-00i1-t7 Site Address: 14.15(p Sw Lulcar CA . Project Name: L AVatr RI die Lot #: T (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: (sJ e iJ SFR. 09 Verify site address/suite#exists and active in permit system. Site Plan Elements: Three(3)copies of site plan /Existing structures on site WSite plan must b€on 8-1/2"x 11"or 11 x 17"paper /footprint of new structure(including decks)with finished E Drawn to scale(standard architect or engineer scale) floor elevations RiNorth arrow igtk.Itility locations(required for new,may apply for additions) Site address,project or subdivision name and lot number WLocation of wells/septic systems iitApplicant information(name and phone number) [ Erosion control(including drainage-way protection,silt fence Lot dimensions and building setback dimensions design,location of catch basin,etc.) ('Lot area,building coverage area,percentage of coverage and RStreet names impervious area(applicable if R-7,R-12,R-25&R-40) [ Street tree size,type and location Oat operty corner elevations(2 foot contour lines if more than NExisting trees to be retained with drip line,and tree 4 foot differential) protection measures Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995): Required: ❑ Yes M'No Received: ❑ Yes ❑ No l Land Use Case#: Pi,X14 /N( 6(,l,(3 a 013 - 0000 C$ Zoning. R- 7 Setbacks: Front ap/5 Rear 15 Side 5 Street Side -- Garage a o Landscape Requirement: e2 0 °/a Lot Coverage Maximum: a0 Building Height: Maximum Height 3 5 Actual Height 3 3 Cgi Visual Clearance ' Ar Easements Sensitive Lands: ❑ Yes g No Type ' Urban Forestry Plan Rt/Conditions Met Notes: Approved By Planning: �; �v . a • C- /14,--'/14,--' Date: if""8--1 q Revisions (after Building Submittal only)' Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_042914.docx Building Permit Submittal Original Submittal Date: 9/i//s/ Site Plans: # 3 Building Plans: # 3 Building Permit#: tr building ppermt above. — / Workflow Routing: [� pting p�Engineering L�Permt't Coordinator I=J-Building Workflow Sign-off: �E S' °ff for Planning(include notes from planning review) Route Application Documents: t7 Engineering: (1) copy of permit application,(1) site plan,(1) building plan and on al plan review routing form. LrJr3uilding. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ALA)5 f By Permit Technician: -Zj Date: 4/4/4/ Engineering Review Z Actual Slope: G 'ja ❑ Conditions Met Notes: AID r~..r C..tx.., t s s v,4S Approved by Engineering: Date: I ,9, i 4 Revisions (after Building Submitta only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1■11=111••••1111M. .1•1111111111111. Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: K to Issue Permit //// Approved by Permit Coordinator: ' Date: q/5/�? I:1Building\Forms\BldgPermitRvw_RES_042914.docx I. RECEIVED CITY OF TIGARD ik ee 81 ';4 i Approved by Planning -LLB a--1—4 STORM ' SEP 9 2014 Date: ■— ° �y' S�aaw ,` .�� Initials: t�/w WATER AMP_ �__- CITY OF TIGARD - s)4,1,, /A•-- BUILDING DIVISION 3I / _ / r -G�± / R=41.ar.04 /f<' ..Ail'b.AL N CONTRO a a1 j S�OvvvF��`la�� a .. / I • �n1�R24 I // yr IaAY A I I + 1 I IGARAGE I. Cf" 4, - tf w1 P - M 1 - o1 LOT 4 ° ZI 1 1, o AREA: 5,318 I PROPOSED STREET TREE i Z 1 ' I 1 1 1 I IN 102,— ROCK WALL - �� COVERAGE 4 5 89'22'57" E 56.00' S LOT ' _ 1 5 . .r4111111 LOT AREA=5318 SQ.FT. BUILDING FOOTPRINT= 1964 SO.FT. COVERED PORGH/ENTR Q Y=419 S .FT. S I T E P L A N TOTAL COVERAGE=2383/5318=44.896 SCALE = I"=20' 71A : r,;,M : LUKAR 2998 GL LOT 4 r)F Drafting Corp RIDGE PLOT: 7/18/14 PLAN n n REV: 1/1 '/14 SUBDIVISION mission Homes, PLC. pct- CITY OF TIGARD ��, ,(y_�w 47 BUILDING DIVISION PERMIT #: /�� 13125 SW Hall Blvd.,Tigard,OR 97223 DATE ISSUED: Phone: (503)639-4171 ,'°• ^, Inspection Requests(24 Hrs.): (503)639-4175 .:' 'J I� INSPECTION WORKSHEET FOR DATE: //ZO/lr TIME: PAGE: SITE ADDRESS: /14A4, sw L✓ - CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour lime: Code # Inspection Description Confirm # Contact # , Message (40 (vffi , L1 r2. Corrections/Comments/Instructions: e(S—. friec4 Avoc.%c-f--fl1 (pto .rte L Oft e - ,14 lo V: • _ '/£4'- l IV v` iAd ii'VO co L� \� � fzp _>�� -k�rl 2) r Nor z 1j , - Alai- R y c ,,- Aiiegib 112 'vr/C- - L- _b D WI/ NBA- v4 1-E }mss-; z) ,N1fdtorl J4144 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS j- FAIL ❑ CA FOR REINSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: e- Date: j/z //s— Phone #: (503) 718- a27Geo is 113mlding1IVRUVR-1nspWorksheet-BlankForm.doc 03/02/2005 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2014-00147 David Young Not ready, work not complete. Work to be complete prior to inspection being scheduled. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2014-00147 David Young Condensate drain line buried in bark dust. Provide protection Ballard in front of furnace and water heater. To be installed where impact is possible in the normal path of travel. Figure M1307.2 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2014-00147 David Young Provide city required documents and approved plans on site for ﬁnal inspection. Provide approved electrical ﬁnal inspection. Provide vent wells left side of house and code required slope away from foundation 6" in 10' or approved drainage swale. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal FAIL MST2014-00147 David Young Arc fault breaker for den and entry not tripping. Receptacle cover not properly attached in wet location in upper level main bath mirror. 406.5(D), 406.6 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2014-00147 David Young Corrections done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2014-00147 David Young Corrections done. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00147 David Young Corrections done. Note: receptacle cover plate on mirror changed to regular white cover to ﬁt ﬂush with mirror. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL MST2014-00147 David Young AC in process of installation, not installed prior to mechanical ﬁnal. Recall when ready for ﬁnal. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14256 SW LUKAR CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2014-00147 David Young Final erosion control approved. Street tree certiﬁcation received. Moisture content form received. High efﬁciency lighting form received. Insulation certiﬁcation checked. Duck seal test report checked. C of O left on site. Violation Summary: Inspector Contractor